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Treatment of a Maxillary Second Molar with One Buccal and Two Palatal Roots Confirmed with Cone-Beam Computed Tomography

Masoud Parirokh, Mahsa Razifar, Hamed Manochehrifard, Paul V Abbott, Nima Hatami, Nargessaddat Kashi, Aida Farhadi




Root canal configuration is an important subject in endodontic practice and dentists should be familiar with all possible types of root canal configuration. A forty-three year old male was referred for root canal treatment of his maxillary left second molar tooth with symptomatic irreversible pulpitis. Pre-operative radiographs showed a three rooted molar. However, after access cavity preparation two palatal and one buccal orifices were detected. The patient was informed of the unusual root canal anatomy and cone-beam computed tomography (CBCT) was ordered for precise evaluation of the anatomy. CBCT image confirmed the presence of one buccal and two palatal root canals; an exceptionally rare condition.

Keywords: Cone-Beam Computed Tomography; Maxillary Second Molar; Palatal Roots; Root Anatomy

DOI: https://doi.org/10.22037/iej.v12i3.16331


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